RESUMEN
This prospective study was performed in patients aged 65 years or older who underwent hip fracture surgery. The objective was to determine the functional evolution in a group of patients three months after hospital discharge, to identify the variables related to this functional recovery and to describe the associated mortality and institutionalization process. We analyzed demographic variables such as age, sex, and living situation. Other aspects considered included: comorbidity, cognitive impairment, walking ability, dependency level according to Barthel's Index, institutionalization, and mortality. The information was collected on admission and three months after discharge. Considering the entire sample, 89.6% was female and the average age was 83.56 years; 40% of patients regained their prior independence and a 16.7% mortality rate was registered, together with a slight progression toward institutionalization. The functional capacity and cognitive impairment of patients before the fracture are determinants of functional recovery and subsequent recovery of independence.
Asunto(s)
Fracturas de Cadera/rehabilitación , Fracturas de Cadera/cirugía , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Estudios Prospectivos , Recuperación de la FunciónRESUMEN
Estudio observacional prospectivo en pacientes mayores de 65 años intervenidos de fractura de cadera. El objetivo fue conocer la evolución funcional de los pacientes a los tres meses del alta hospitalaria, identificar variables relacionadas con dicha recuperación funcional, describir la mortalidad e institucionalización asociadas al proceso. Se analizaron variables demográficas como edad, sexo, convivencia. Otros aspectos registrados fueron: comorbilidad, deterioro cognitivo, capacidad para caminar, nivel de dependencia según índice de Barthel, institucionalización y mortalidad. Se recogió la información al ingreso y a los 3 meses del alta. El 89,6% de la muestra, fueron mujeres, la edad media fue de 83,56 años. El 40% de los pacientes recuperaron la independencia previa registrándose una mortalidad del 16,7% así como una leve progresión hacia la institucionalización. La capacidad funcional y el deterioro cognitivo del paciente, previos a la fractura condicionan su recuperación funcional y dependencias posteriores.
Estudo prospectivo de observação, abrangendo doentes com idade superior a 65 anos, submetidos à intervenção cirúrgica por fratura do quadril. O objetivo deste trabalho foi conhecer a evolução funcional dos doentes três meses após a alta hospitalar, identificar as variáveis que influenciaram essa recuperação e descrever a mortalidade e institucionalização. Foram analisadas variáveis como idade, sexo e convivío. Outros aspectos: comorbilidade, deterioração cognitiva, capacidade para se deslocar, nível de dependência segundo índice de Barthel, institucionalização e mortalidade. A informação foi recolhida no momento da admissão e três meses após a alta. Da amostra, 89,6% foram constituídos por mulheres com idade média de 83,56 anos; 40% dos doentes recuperaram a independência anterior, registando-se uma mortalidade de cerca de 16,7% bem como uma ligeira tendência à institucionalização. A capacidade funcional e o grau de deterioração cognitiva antes da fratura condicionam posterior recuperação funcional e consequente nível de dependência.
This prospective study was performed in patients aged 65 years or older who underwent hip fracture surgery. The objective was to determine the functional evolution in a group of patients three months after hospital discharge, to identify the variables related to this functional recovery and to describe the associated mortality and institutionalization process. We analyzed demographic variables such as age, sex, and living situation. Other aspects considered included: comorbidity, cognitive impairment, walking ability, dependency level according to Barthel's Index, institutionalization, and mortality. The information was collected on admission and three months after discharge. Considering the entire sample, 89.6% was female and the average age was 83.56 years; 40% of patients regained their prior independence and a 16.7% mortality rate was registered, together with a slight progression toward institutionalization. The functional capacity and cognitive impairment of patients before the fracture are determinants of functional recovery and subsequent recovery of independence.